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Satisfaction Survey

At Community Health Services, we value each and every one of our patient’s opinions regarding the care and treatment received at our offices. The feedback we obtain is used to make changes and improvements within our system.

Please take a moment to tell us how we are doing by completing the survey below. All surveys with patient names will be held in the strictest confidence and will not be shared with employees and/or Providers.

Providing the highest quality standards in the health care industry in a customer friendly environment has been our goal for over 40 years. Thanks again for taking the time to complete the survey, it is greatly appreciated.

Below you can view the results of our previous Patient Surveys:


Patient Information
Patient Name: (not required)
Patient Gender: (required)
Patient Age: (required)
Patient Race/Ethnicity: (required)
Office Location: (required)
Name of Provider: (required)
Ease of Getting Care
Excellent Good Fair Poor
Ability to get Appointment: (required)
Convenient hours of operation: (required)
Convenient location: (required)
Phone calls get through easily: (required)
Calls quickly returned: (required)
Waiting
0 - 15 15 - 30 30 - 45 45+
How many minutes spent in waiting room: (required)
Time spent in checkout area: (required)
Payment
Excellent Good Fair Poor
What you pay is reasonable: (required)
Explaination of charges: (required)
Facility
Excellent Good Fair Poor
Neat and clean building: (required)
Easy to find clinic: (required)
Handicap accessibility: (required)
Comfort and safety while waiting: (required)
Front Desk
Excellent Good Fair Poor
Friendly and helpful to you: (required)
Nurses and Medical Assistants
Excellent Good Fair Poor
Friendly and helpful to you: (required)
Answers your questions: (required)
Provider(s)
Excellent Good Fair Poor
Listens to you: (required)
Spends enough time with you: (required)
Gives you good advice and treatment:
Friendly and helpful to you: (required)
Answers your questions: (required)
All Other Staff
Excellent Good Fair Poor
Friendly and helpful to you: (required)
Answers your questions: (required)
General
Yes No
Would you send your friends and relatives to us? (required)
Is this center your main source of care? (required)
Comments
Safe and effective patient care is our top priority. Please share any suggestions, concerns, or comments below.
 

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